英国海湾战争退伍军人的死亡率
G J Macfarlane1, E Thomas, N Cherry
1Unit of Chronic Disease Epidemiology, School of Epidemiology and Health Sciences, University of Manchester, UK. G.Macfarlane@man.ac.uk
Lancet (London, England)
|July 13, 2000
概括
与非部署人员相比,海湾战争的退伍军人经历了非常小的,在统计学上不显著的死亡率增加. 过多的死亡主要是由于事故而不是疾病,与其他退伍军人群体中看到的模式保持一致.
科学领域:
- 军事医学 军事医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 与非部署人员相比,海湾战争退伍军人报告的当前健康状况不佳率更高.
- 人们担心海湾战争退伍军人死亡率可能更高.
研究的目的:
- 调查英国海湾战争退伍军人的死亡率.
- 为了比较部署和非部署的军事人员之间的死亡风险.
主要方法:
- 一项对53462名英国海湾战争退伍军人的回顾性队列研究 (海湾队列).
- 一个匹配的非部署人员的比较队列 (Era队列).
- 从1991年4月1日到1999年3月31日的后续行动,使用国家统计局的数据.
主要成果:
- 在海湾队列中共记录了395例死亡,在Era队列中记录了378例死亡 (MRR1.05,95%CI0.91-1.21)
- 在海湾群体中观察到由外部原因 (事故) 引起的死亡率更高 (MRR 1.18 [0.98-1.42]).
- 在海湾群体中观察到与疾病相关的死亡率较低 (MRR 0.87 [0.67-1.11]).
结论:
- 冲突后八年,海湾战争的退伍军人显示出非常小的过度死亡率,在统计学上没有显著意义.
- 过度死亡率主要与事故有关,而不是疾病.
- 这种模式与美国海湾战争退伍军人和其他冲突的退伍军人的研究结果一致.
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